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Physical Therapy Services We Offer

We work one-on-one with our patients to provide a combination of specialized types of Physical Therapy interventions to help those suffering from Vestibular issues. 


This attention to detail with a complete hands on approach is used exclusively with every patient to facilitate a more integrated therapist/patient relationship, optimize your outcomes and reduce the number of your visits — some of our patients require only one to two sessions!

Medicine Ball Workout
What causes my dizziness and vertigo?

Commonly defined by the broad term of vertigo: A sensation of lightheadedness, faintness, or unsteadiness. Feeling as though the room is spinning around you or that you are spinning up/down or side to side. Other symptoms include headache, ringing in ears (tinnitus), or nausea. These symptoms often increase as we age.


80% of individuals with complaints of vertigo have an inner ear disorder. Most commonly Benign Paroxysmal Positional Vertigo (BPPV) or when our inner ear crystals or otoliths become stuck in a different part of a semicircular canal and often the most common complaint is positional dizziness/nausea such as when lying down or turning over in bed.


However vertigo complaints can be caused by other issues other than the inner ear such as due to medication, anxiety, or our central nervous system or brain from previous stroke or tumors.


Therefore it is important to see either a vestibular specialist or your doctor to help determine the underlying cause of your dizziness.  Watch the video below to learn more and what to expect the first visit and treatment to be like: 

Jumping on Box


The Direct Performance physical therapists are THE BEST! I was diagnosed as needing vestibular therapy after a stroke that presented as extreme vertigo. I lost several degrees of hearing in one ear. That loss resulted in dizziness at unpredictable times. Dr. Rachel Buechler worked with me over two months prescribing exercise therapy that eliminated my dizziness episodes. She gave me techniques to counteract my dizziness. Dr. Buechler's knowledge and skills have changed my life. I am so very grateful.


Participants with a vestibular dysfunction and self reported dizziness were 12 times more likely to fall. Those with a vestibular dysfunction alone were also shown to be at a higher risk for falling. There is also evidence that suggests vestibular rehabilitation can be more effective than medication alone for long-term improvements in symptoms and function.


  • A meta-analysis of 21 randomized trials suggested that there was moderate to strong evidence to support that vestibular rehabilitation is a safe and effective intervention for persons with peripheral vestibular disorders. 

  • For persons with unilateral vestibular loss, significant differences in postural control were found in those enrolled in a vestibular rehabilitation program compared to a control group. 

  • Repositioning maneuvers are effective, improve quality of life, and improve gait speed in people, especially older adults, who experience Benign Paroxysmal Positional Vertigo (BPPV).

Persons over the age of 70 with dizziness complaints who received vestibular exercises demonstrated significant improvements in dizziness and balance confidence at 3 weeks and 3 months compared to a no-intervention group.


We offer assessments and care for pain in the following areas:

Comprehensive Assessments & Treatments Offered

Back Pain, Sciatica, Herniations, & Radiculopathy

Myofasial, Postural, & Movement Related Impairments

Neck Pain, Tension Headaches, Temporomandibular Joint Dysfunction, & Whiplash Associated Disorders

Shoulder Pain, Impingement, Rotator Cuff Disorders, Frozen Shoulders, & Shoulder Repairs

Shoulder, Hip and Knee Pain / Replacements

Ankle Pain, Plantar Fasciitis & Ankle Instability

Sports / Running Related Injuries & Surgeries

Women's Health and Pelvic Floor Incontinence & Impairments 

Vertigo, dizziness, Concussions, and other Vestibular Disorders

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